Background
This report demonstrates a case of pediatric pulmonary edema, detected due to the overuse of irrigation fluids during ureteroscopy.
Case presentation
A 7-year-old girl was hospitalized due to the large number of opaque stones in the right kidney. After extubation, the patient’s oxygen saturation dropped down to 85%, and respiratory distress was observed. It was determined that the surgical team used 5 Lt 0.9% NaCl solution as irrigation fluid. Positive pressure ventilation with mask continued, and intravenous bolus injection of furosemide was administered to the patient with a preliminary diagnosis of pulmonary edema.
Conclusions
In prolonged operations, patients should be checked for the presence of pulmonary edema with lung auscultation, and noninvasive mechanical ventilation and diuretic treatment should be instituted if necessary.